Effectiveness of an intervention in diabetic patients with periodontal diseases and associated factors

• Main Authors: Yusleidis Ilia Bermudez-Nuñez, Yoenis Avila-Pérez, María América Bermudez-Nuñez, Lázaro Alexei Peña-Nuñez, Yutmila Ramírez-Abreu
• Format: Article
• Language: Spanish
• Published: Universidad de Ciencias Médicas de Las Tunas 2018-01-01
• Series: Revista Electrónica Dr. Zoilo E. Marinello Vidaurreta
• Subjects: diabetes mellitus; periodontal diseases; oral medicine
• Online Access: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/1248

<p><strong>Background</strong>: diabetes mellitus produces a deterioration in the microcirculation, the leukocytic function and collagen metabolism, which modifies or aggravates the destruction of periodontal tissues in the presence of factors associated with the disease.<strong></strong></p><p><strong>Objective</strong>: to assess the effectiveness of an intervention in diabetic patients with periodontal diseases and associated factors, attended to at the dental office of the municipality of Jobabo, Las Tunas, from September 2016 to March 2017.<strong></strong></p><p><strong>Methods</strong>: a descriptive, prospective intervention-based study was carried out. The universe consisted of 144 diabetics who presented to the dental clinic in the period of time herein declared, of which a sample of 70 patients older than 20 years was selected.<strong></strong></p><p><strong>Results</strong>: there was a majority of females (60 %), of the 35 to 59 age group of years (51,4 %) and as associated factors the bacterial dental plaque (in 71,4 % of patients) and dental calculus (54,3 %) prevailed. The initially diagnosed periodontopathies were: chronic edematous gingivitis (8 patients), fibro-edematous gingivitis (6 patients) and adult chronic periodontitis (56 patients). Once the first-level comprehensive dental attention was achieved, chronic edematous gingivitis and fibro-edematous edema were eliminated; the 6 patients with the latter remained with fibrous gums, but without surgical criterion. The 56 patients suffering from chronic periodontitis remained with sequela of the disease, but it was found inactive at the end of the research.<strong></strong></p><strong>Conclusions</strong>: the effectiveness of the intervention was proven by means of the elimination or modification of the periodontal diseases and associated factors, helping to avoid tooth loss.